Mark J Modjean Dds Pa | |
7001 Nicollet Ave S Richfield MN 55423-3162 | |
(612) 866-3322 | |
Not Available |
Full Name | Mark J Modjean Dds Pa |
---|---|
Speciality | Dentist |
Location | 7001 Nicollet Ave S, Richfield, Minnesota |
Authorized Official Name and Position | Mark John Modjean (PRES) |
Authorized Official Contact | 6128663322 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mark J Modjean Dds Pa 7001 Nicollet Ave S Richfield MN 55423-3162 Ph: (612) 866-3322 | Mark J Modjean Dds Pa 7001 Nicollet Ave S Richfield MN 55423-3162 Ph: (612) 866-3322 |
NPI Number | 1538140934 |
---|---|
Provider Enumeration Date | 11/11/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538140934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 8439 (Minnesota) | Primary |
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› Verified 6 days ago
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